MR. RANDALL LEO BURDEN (LMFT) – Marriage & Family Therapist, NPI 1184886756

MR. RANDALL LEO BURDEN (LMFT) is a healthcare provider. based in Hesperia, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials LMFT. They hold a License No. MFCC 34409 (CA). The NPI Number for MR. RANDALL LEO BURDEN (LMFT) is 1184886756

Main info

Male
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDALL LEO BURDEN (LMFT)
NPI
1184886756
Phone
(909) 816-3327
Address
10662 MAPLE AVE
Enumeration Date
25 June 2008
Last Update Date
10 May 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8887954337
Graduation Year
1995 (31 years ago)
PAC ID
8022450261
Group Practice PAC ID
9335475870
Professional Enrollment ID
I20240520003328
Address ID
CA926537906LA23201DRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

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Provider Addresses for MR. RANDALL LEO BURDEN (LMFT)

  • 10662, Maple Avenue, Hesperia, San Bernardino County, California, 92345, United States

    HESPERIA, CA 923452436

    Phone: (909) 816-3327

    Fax: (909) 920-4206

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240520003328IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92345)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335475870View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Clinical Social WorkerCA
Nurse PractitionerCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Clinical Social WorkerWA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

Where can patients find MR. RANDALL LEO BURDEN (LMFT)'s NPI?
You can confirm MR. RANDALL LEO BURDEN (LMFT) with NPI 1184886756; it appears in the national provider directory.
Is MR. RANDALL LEO BURDEN (LMFT) active in the national directory?
MR. RANDALL LEO BURDEN (LMFT)'s public NPI profile is in an active state.
Does MR. RANDALL LEO BURDEN (LMFT) list a primary specialty?
If you are matching referrals, note Marriage & Family Therapist for MR. RANDALL LEO BURDEN (LMFT). Clinical services aligned with this taxonomy classification.
Does MR. RANDALL LEO BURDEN (LMFT) practice in California?
You will see Hesperia, California on file for MR. RANDALL LEO BURDEN (LMFT) alongside any extra practice locations.
How can I contact MR. RANDALL LEO BURDEN (LMFT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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